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ZDJ-32014-58262

4 vaccinations 22 coded responses 53 check-ins 22 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
100 / NY
Registered
2021-03-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-01
    Registered in v-safe
  2. 2021-03-01
    Dose 1 — Moderna
  3. 2021-03-01
    Survey response — day 0, dose 1
    MedDRA: Discomfort, Dizziness, Limb discomfort — Feeling: Fair · Site: Pain
    Free text: A bit light headed. Mild discomfort in injected arm & armpit, gone after a few minutes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Muscle soreness around vaccination site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Sore muscles around injection site improving now...almost gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Still some soreness around injection site, but its much better than it was a couple of days ago.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site discomfort — Feeling: Good
    Free text: A teensy bit of discomfort near injection site still.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  10. 2021-03-08
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  11. 2021-03-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-29
    Dose 2 — Moderna
  14. 2021-03-29
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  15. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Throat irritation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I may have had a mild fever last night, but I didnt take my temp so not sure. Also I have a very mild scratchy throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Fatigue or tiredness
    Adult check-in
  17. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Fatigue or tiredness
    Adult check-in
  18. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  19. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry throat, Throat irritation — Feeling: Good
    Free text: Slight scratchy throat and occasional dry cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-05
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  22. 2021-04-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-10
    Survey response — day 42, dose 2
    MedDRA: Fatigue — Feeling: Fair
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-28
    Survey response — 3 months, dose 2
    MedDRA: Urinary tract infection — Feeling: Good
    Free text: Mild UTI like symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-09-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-03
    Dose 3 — Moderna
  30. 2021-11-03
    Survey response — day 0, dose 3
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling
    Free text: Slight light headeness for a few minutes after shot.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Injection site pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Pain from injection site goes into armpit
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  33. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat. Runny nose. Like having a cold. My nose ran like a faucet last night. Better today. Sore throat still there.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Malaise, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dry hacking cough, runny nose, sore throat. I didn't get sick like this after the first two doses. Also, I had the cough yesterday as well, but couldn't go back & edit yesterday's health check-in. This app is as user friendly as a box of rocks.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Runny nose at night (gone now), still have hacking machine gun dry cough that goes on & on unless controlled w cough syrup, sore throat (probably from cough). This app is skewing your data, btw, by making it difficult to report actual symptoms
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat, dry hacking cough
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-11-11
    Survey response — day 7, dose 3
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Bad dry hacking cough, sore throat
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-11-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-02-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-05-05
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  45. 2022-10-04
    Dose 4 — Moderna
  46. 2022-10-04
    Survey response — day 0, dose 4
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Free text: Light headed
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-10-05
    Survey response — days 1–6 daily, dose 4
    MedDRA: Breast pain, Fatigue, Throat irritation — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Last night I had intermittent mild pain in the breast on the side whereI got the shot. It's gone today. I have a scratchy throat. Fatigue is improving as the day goes on.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-10-06
    Survey response — days 1–6 daily, dose 4
    MedDRA: Throat irritation — Feeling: Good · Site: Pain
    Free text: Scratchy throat persists.
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-10-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Throat irritation — Feeling: Good · Site: Pain
    Free text: Scratchy throat
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-10-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  51. 2022-10-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  52. 2022-10-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2022-10-11
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  54. 2022-10-18
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  55. 2022-10-25
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-11-04
    Survey response — day 28, dose 4
    MedDRA: Urinary tract infection — Feeling: Fair
    Free text: Urinary tract infection. Almost better now.
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-11-11
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-11-15
    Survey response — day 42, dose 4
    MedDRA: Bladder irritation — Feeling: Fair
    Free text: Irritated bladder
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna
22021-03-29Moderna
32021-11-03Moderna No
42022-10-04Moderna No

Free text

Release 4 — day 0, dose 1

2021-03-01

Systemic reaction (other): A bit light headed. Mild discomfort in injected arm & armpit, gone after a few minutes.

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Muscle soreness around vaccination site.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Sore muscles around injection site improving now...almost gone.

2021-03-04

Systemic reaction (other): Still some soreness around injection site, but its much better than it was a couple of days ago.

2021-03-06

Systemic reaction (other): A teensy bit of discomfort near injection site still.

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): I may have had a mild fever last night, but I didnt take my temp so not sure. Also I have a very mild scratchy throat.

2021-04-03

Systemic reaction (other): Slight scratchy throat and occasional dry cough

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Fatigue

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Mild UTI like symptoms.

Release 10 — day 0, dose 3

2021-11-03

Systemic reaction (other): Slight light headeness for a few minutes after shot.

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Pain from injection site goes into armpit

2021-11-06

Systemic reaction (other): Sore throat. Runny nose. Like having a cold. My nose ran like a faucet last night. Better today. Sore throat still there.

2021-11-07

Systemic reaction (other): Dry hacking cough, runny nose, sore throat. I didn't get sick like this after the first two doses. Also, I had the cough yesterday as well, but couldn't go back & edit yesterday's health check-in. This app is as user friendly as a box of rocks.

2021-11-08

Systemic reaction (other): Runny nose at night (gone now), still have hacking machine gun dry cough that goes on & on unless controlled w cough syrup, sore throat (probably from cough). This app is skewing your data, btw, by making it difficult to report actual symptoms

2021-11-09

Systemic reaction (other): Sore throat, dry hacking cough

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): Bad dry hacking cough, sore throat

Release 12 — day 0, dose 4

2022-10-04

Systemic reaction (other): Light headed

Release 12 — days 1–6 daily, dose 4

2022-10-05

Systemic reaction (other): Last night I had intermittent mild pain in the breast on the side whereI got the shot. It's gone today. I have a scratchy throat. Fatigue is improving as the day goes on.

2022-10-06

Systemic reaction (other): Scratchy throat persists.

2022-10-07

Systemic reaction (other): Scratchy throat

Release 12 — day 28, dose 4

2022-11-04

Symptoms: Urinary tract infection. Almost better now.

Release 12 — day 42, dose 4

2022-11-15

Symptoms: Irritated bladder

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDBladder irritation · · ✓
SDFatigue ✓ ✓ ✓
SDUrinary tract infection ✓ ✓ ✓
SROAxillary pain · · ✓
SROBreast pain · · ✓
SROCough · · ✓
SRODiscomfort ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODry throat ✓ ✓ ✓
SROFatigue · · ✓
SROInjection site discomfort ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROMalaise · · ✓
SROMyalgia ✓ ✓ ✓
SRONasopharyngitis · · ✓
SROOropharyngeal pain · · ✓
SRORhinorrhoea · · ✓
SROThroat irritation ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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